2026 ICD-10-CM Diagnosis Code R39.198Other difficulties with micturition

ICD-10-CM Codes›R00–R99›R30-R39›R39

ICD-10-CM R39.198
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

R39.198 is a billable ICD-10-CM diagnosis code for other difficulties with micturition. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 695 through 696. As a symptom code, it should not be used as a principal diagnosis once a related definitive diagnosis has been established. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Genitourinary signs and symptoms.

Code Identity

ICD-10-CM Code
R39.198
Billable Status
Yes — Valid for Submission
Code Describes
Other difficulties with micturition
Short Description
Other difficulties with micturition
Same as the full description in the CMS dataset.
Parent Code
R39.19
Other difficulties with micturition

Code Classification

ChapterR00–R99Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
SectionR30-R39Symptoms and signs involving the genitourinary system
CategoryR39Other and unspecified symptoms and signs involving the genitourinary system
This CodeR39.198Other difficulties with micturition

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Abnormal urination
  • Alteration in patterns of urinary elimination
  • Automatic micturition
  • Difficulty initiating bladder emptying
  • Difficulty passing urine
  • Dysfunctional voiding
  • Dysfunctional voiding of urine
  • Finding of desire for urination
  • Finding of sensation of urinary bladder
  • Finding related to ability to pass urine
  • Has to make self urinate
  • Incomplete urination
  • Lack of desire for urination
  • Must adopt particular posture to urinate
  • Painful urging to urinate
  • Painful urinary bladder spasm
  • Spasm of urinary bladder
  • Unable to urinate lying down
  • Unable to void urine
  • Urinary bladder pain

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Abnormal, abnormality, abnormalities
      • urination NEC
    • Difficult, difficulty(in)
      • micturition
        • specified NEC
    • Disorder(of)
      • micturition NEC
    • Micturition
      • disorder NEC
    • Residual
      • urine
    • Slowing, urinary stream
    • Urine
      • intermittent stream
    • Urine
      • stream
        • intermittent
    • Urine
      • stream
        • slowing

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR SYM011
Genitourinary signs and symptoms
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Bladder Pain

    painful sensation in the bladder region.

  • Gallbladder Pain, CTCAE 5.0|Gallbladder Pain|Gallbladder pain

    a disorder characterized by a sensation of marked discomfort in the gallbladder region.

  • Gallbladder Pain|Gallbladder pain

    painful sensation in the gallbladder region.

  • Grade 1 Gallbladder Pain, CTCAE|Grade 1 Gallbladder pain|Grade 1 Gallbladder pain

    mild pain

  • Grade 2 Gallbladder Pain, CTCAE|Grade 2 Gallbladder pain|Grade 2 Gallbladder pain

    moderate pain; limiting instrumental adl

  • Grade 3 Gallbladder Pain, CTCAE|Grade 3 Gallbladder pain|Grade 3 Gallbladder pain

    severe pain; limiting self care adl

Patient EducationClinical

Urine and Urination

Your kidneys make urine by filtering wastes and extra water from your blood. The waste is called urea. Your blood carries it to the kidneys. From the kidneys, urine travels down two thin tubes called ureters to the bladder. The bladder stores urine until you are ready to urinate.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert R39.198 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
788.69 Oth abnormalt urination
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2018AddedAdded to the ICD-10-CM code setEffective October 1, 2017.
FY 2019–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About R39.198Overview

Is R39.198 (Other difficulties with micturition) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other difficulties with micturition on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does R39.198 group to?

When other difficulties with micturition is the principal diagnosis on an inpatient stay, it groups to MS-DRG 695, 696, with relative weights from 0.6890 to 1.1438 depending on complications. Higher weights mean higher Medicare reimbursement.

Can R39.198 be a principal diagnosis?

Use it with care. This is a symptom code, so once a definitive diagnosis explaining the other difficulties with micturition is established, that condition takes the principal position instead.

What is the ICD-9 equivalent of R39.198?

Under the General Equivalence Mappings, other difficulties with micturition converts to ICD-9-CM 788.69 (oth abnormalt urination). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.